Insightin Health and ReferWell partner to help payers close more care gaps
Upon identifying that a member has a care gap, the integrated ReferWell capability allows providers or care managers (whether provided by the plan or by ReferWell) to find the right specialist for the patient and book that care gap closure appointment “right then and there” with the member, either at the point of care or on the first call. ReferWell’s system also generates a series of appointment reminders that serve to increase patient compliance and communicates status updates to inGAGETM. Lastly, ReferWell’s HIPAA secure, EMR agnostic platform easily facilitates the sharing of clinical notes from the specialist to the PCP, thereby enhancing care coordination across the plan.
The integrated inGAGETM platform identifies the members with care gaps, provides insights into the best way to close that care gap, and provides the tools needed to schedule the appropriate appointment(s) for the member. The data about the status and results of the care gap will be reflected in the dashboard in real time, allowing payers to leverage the instant feedback to eliminate duplicate work and minimize member abrasion caused by “competing callers” that often occur today because so many departments are in contact with members.
“The beauty of this solution is that it can be used by providers, care managers employed by the plan, or third parties,” says Derek Baehre, Chief Revenue Officer of Insightin Health. “The plan can set it up so providers are the ones leveraging the platform to schedule members needing care gaps and incentivize those providers and members, with real dollars in real-time, based on their ability to close care gaps. Alternatively, the plan can employ care navigators who leverage the platform to engage with the members, or some combination of the two.”
“Data has always been extremely valuable to health plans, but being able to take immediate action on that data and have a real-time feedback loop takes that value to a whole new level,” says Vytas Kisielius, CEO of ReferWell.
By sharing this valuable information with each other, providers and health plan care managers can work together to effect care gap closures that improve health outcomes for members, facilitate quality care for providers, and reduce costs for health plans.
“We are excited about this partnership because the synergies created between our two companies creates additional value for our payer clients, and ultimately their members,” says Enam Noor, CEO of Insightin Health.
About Insightin Health
Insightin Health is the industry’s only single platform which provides a complete personalized member engagement for each step of the health care journey. The core platform combines medical, clinical, cognitive, and social determinants of health to recommend the Next Best Action (NBA) for each person. Health plans can improve quality measurements, gain higher member satisfaction, and increase member retention. The simple integration and easy to use platform creates an effective shift towards a healthier population for the health plans. For more information, visit http://insightinhealth.com.
ReferWell is a full-service referral management solution focused on the last mile in healthcare delivery – finding the right specialist for the patient, booking the patient appointment at the point of care, and ensuring patient and provider compliance. With ReferWell’s software, patient compliance when booked at the point of care increases 60+%. The systematic process helps healthcare networks stop out-of-network visits, increase referral capture, enhance coordination of care, and reduce cost while enhancing member experience and impacting STAR ratings. ReferWell’s cloud-based, EMR agnostic software balances the needs of payers, primary care providers, specialty care providers, and patients. For more information, visit http://referwell.com